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Permit No. 11858 APPLICATION FOR BUILDING PERMIT BUILDING INFORMATION 'T,' �n1NCommunity Development Address: 4693 INVERNESS COURT Permit Number: 111858 '�,�. z 2001 Grand Avenue APN: 1017-094-28 Chino Hills, CA 91709 Lot: 106 PERMIT FEES r t -_NElectrical: $252.67 crry OFo xwo HILLS X/ST: PHASE 9 Geo Review: $0.00 LICENSED CONTRACTOR'S DECLARATION Tract: 14652 Grading: $75.00 I hereby affirm that I am licensed under the provisions of Chapter 9(commencing with Valuation: $156,000.00 Section 7000 of Division 3 of the Business and Professions Code)and my license is in Issuance: $29.00 full force and effect. APPLICANT INFORMATION Mechanical: $68.82 Contractor: RICHMOND AMERICAN INC. Name: RICHMOND AMERICAN HOMES Plan Check: $110.29 Address: 17310 REDHILL AVENUE STE.320 - Plumbing: $246.00 Address: 17310 REDHILL AVENUE STE 320 City,State Zip: IRVINE,CA. 92614 City,State Zip: IRVINE,CA. 92614 Structural: $1,102.86 Phone: (714)756-7323 Total Permit Fee: $1,884.64 Phone: (714)756-7323 City Bus Lic#: License Class: B Li se#: 487535 City Bus Exp: / OWNER INFORMATION SMIP: $15.60 I, OWNER BUILDER DECLARATION Name: (RICHMOND AMERICAN HOMES Total with SMIP: $1,900.24 I hereby affirm that I am exempt from the Contractor's License Law for the following reason. Address: 117310 REDHILL AVENUE STE.320 ❑ City,State Zip: IIRVINE,CA 92614 I,as the owner of the property,or my employees with wages as their whole compensation,will do the work,and the structure is not intended or offered for sale. Phone: (714)756-7323 APPROVAL INFORMATION City Bus Lic#: riI,as owner of the property,am exclusively contracting with licensed contractors to Approved by: DC construct the project. City Bus Exp: Date Issued: 5/13/98 El I am exempt under Section ' 1 BPC for this reason I I ENGINEER/ARCHITECT INFORMATION Finance Code: C-4 SM WORKERS'COMPENSATION DECLARATION Name: Census Code: 101 Address: Final Date: I hereby affirm under penalty of perjury one of the following declarations: City,State Zip: Inspector: 17 I have and will maintain a certificate of consent to self-insure for workers' Phone: Extension: compensation as provided by Section 3700 of the Labor Code,for the performance City Bus Lic#: Reviewed by: of the work for which this permit is issued. City Bus Exp: T1I nave and will maintain workers'compensation,as required by Section 3700 of the Eng/Arc Lic#: Labor Code,for the performance of the work for which this permit is issued. My 4.workers'compensation insurance carrier and policy number are: Proposed Use: SINGLE FAMILY RESIDENCE • Insurance Company: LIBERTY MUTUAL Policy Number: WC7-191-415185-037 Expiration Date: 7/1/98 El Section need not be completed if the permit is for one hundred dollars($100)or less. Project Description: Location on Prop: Square Feet: Setbacks: Livable: 12297 FY 18 I certify that in the performance of the work for which this permit is issued. I shall not employ Garage: 630 SY: 5/5 any person in any manner so as to become subject to the Workers'Compensation Laws of Patio RY 15 California and agree that if I should become subject to the workers'compensation provisions Porch: I of Section 3700 of the Labor Code. I shall comply with those provisions. Other: DECK 63.75 Date: I `�/•�'"`T I Signature: Comments: ELEVATION 1C Zoning: 1PD Grading: I certify I have read this application and state that the above info jon is correct. I agree to Land Use: IFR1 comply with all City Ordinances and state laws and hereby authorize representatives of this Plan: 1PLAN 1 Cut: 0 City to enter upon the above mentioned property for inspection purposes. Occ: R-3 Fill: 0 Date: I S/$ r � Signature: •` �� I Type: �V-N Total: 0 I INSPECTION RECORD INSPECTION DATE INSPECTOR INSPECTION DATE INSPECTOR Grading: Block Wall Inspections: Pregrade Meeting Footing,ReBar Rough Grade 1st Lift Bond Beam Terraces 2nd Lift Bond Beam Sub Drains 3rd Lift Bond Beam Finish Grading • Drain/Seal Soils Certification ReRoof: Grading Certification Tear-off, Existing Conditions Rough Sheath Nailing As Built Approved Roof Final Underground Site Inspections: Swimming Pools: Building Sewer Line Sty4pL p,/0 0 ,q$Location/Rebar/Bonding/Light Supply Water Line -4 Q L Gas Test/Gr Conduit/Ro Elect Storm Drain/Catch Basins Pre-Deck U/G Conduit/Electrical POOL NOT TO BE FILLED UNTIL FENCING IS COMPLETE DO NOT BACKFILL UNTIL ABOVE IS APPROVED Fence,Gate&Alarm Verify Soils Engineering: Final Pool Compaction,moisture,conditioning,etc. Fire Protection Equipment: Underfloor/Underslab Inspection: UG Pipe U/F Waste Plumbing b (f--QS) si Thrust Blocks U/F Water Hydro U/F Mechanical Flush U/F Electrical Weld Outlet Insp. U/F Framing Overhead Hydro Insulation Subfloor Temp Power Pole ABOVE IS REQUIRED PRIOR TO FOUNDATION INSPECTION - Electric Release Foundation Inspection: Gas Test Setback/Footing UFER Ground(Rebar/Copper) FINAL INSPECTIONS Hardware/Hold-Downs NO OCCUPANCY PERMITTED WITHOUT FINAL! Piers/Caissons/Tendons County Environmental DO NOT POUR CONCRETE UNTIL ABOVE IS APPROVED Health Dept (391-7570) Shear Inspection(Wood): , Planning Dept (364-2790) Roof Nailing .$:11 g(,- , Public Works (364-2770) Exterior Walls 7' / Fire (393-3888) Interior Walls - Landscape (364-2797) Hardware/Hold-Downs ALL ABOVE MUST BE APPROVED BEFORE FINAL BLDG Combo Inspection: Final Electric Framing Final Grade Rough Electric 'b ,-' xis Final Plumbing Rough Mechanical Final Mechanical - Rough Plumbing/Topout / Final Building/Construction COVER NO WORK UNTIL ABOVE IS APPROVED Water Meter Number Insulation -1.4-$$ f-v Drywall Inspection: CERTIFICATE OF OCCUPANCY Interior OK TO ISSUE Exterior Lath - CA/V. OTHER: Stucco Scratch /o-!2.-elk fazr. it&. ©G4- tat,- MISCELLANEOUS INSPECTIONS Masonry Fireplace Plate Ties,Fire Block, PATIO/DECK: Footing Access/Light/Switch Patio Final • • Lo /0.6`